John Michael Holovak, DDS
Individual provider Active NPI Dentist · Slovan, PA
NPI 1669534541 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669534541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- PA019018L (PA)
- Practice address
- 1943 Smith Township State Road
Slovan, PA 15078 - Phone
- (724) 947-5880
- Fax
- (724) 947-9660
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA019018L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PA019018L | PA | Yes |
Addresses
Primary practice location
1943 Smith Township State Road
Slovan, PA 15078
Mailing address
PO Box 366
1943 Smith Township State Road
Slovan, PA 15078
Phone (724) 947-5880
Other providers in Slovan, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.